JP2015526259A5 - - Google Patents

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JP2015526259A5
JP2015526259A5 JP2015530129A JP2015530129A JP2015526259A5 JP 2015526259 A5 JP2015526259 A5 JP 2015526259A5 JP 2015530129 A JP2015530129 A JP 2015530129A JP 2015530129 A JP2015530129 A JP 2015530129A JP 2015526259 A5 JP2015526259 A5 JP 2015526259A5
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lumen
elongate member
catheter
fluid delivery
outlet port
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Priority claimed from PCT/US2013/057733 external-priority patent/WO2014036530A1/en
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Claims (29)

体腔を治療するための装置であって、前記装置は、
近位端、体腔への導入のための大きさに作られた遠位端、膨張内腔、及び前記近位端から前記遠位端に向け伸びる流体送達/ガイドワイヤー内腔を含む細長い部材と、
前記膨張内腔と連通する内部を含む前記細長い部材遠位端にある膨張可能部材と、
記膨張内腔及び前記流体送達/ガイドワイヤー内腔のうち少なくとも1つと連通する入口ポートを含む前記細長い部材近位端上にあるマニホールドを含み、
前記流体送達/ガイドワイヤー内腔がより大きな内側の寸法からより小さい内側の輪状内腔寸法への変化部位をさらに含む、装置。
A device for treating a body cavity, the device comprising:
A proximal end, a distal end which is sized for introduction into a body cavity, the inflation lumen, and wherein including fine long fluid delivery / guide wire lumen extending toward the distal end from the proximal end Members,
And Rise Zhang member including an internal, Ru near the distal end of the elongate member in communication with the inflation lumen,
Includes an inlet port communicating at least one and among the pre-Symbol inflation lumen and the fluid delivery / guide wire lumen, wherein the manifold located on the proximal end of the elongate member,
The fluid delivery / guide wire lumen, further comprising a further variation sites from large inner dimension to a smaller inner ring in腔寸method, equipment.
前記流体送達/ガイドワイヤー内腔が少なくとも1つの出口ポートをさらに含む、請求項に記載の装置。 The device of claim 1 , wherein the fluid delivery / guidewire lumen further comprises at least one outlet port. 前記細長い部材遠位端が前記膨張可能部材の遠位端の方に遠位に伸び、前記膨張可能部材遠位端と前記細長い部材遠位端との間にある前記細長い部材の部分が前記膨張可能部材の遠位端に対し近位にある細長い部材より大きい剛性を含む、請求項に記載の装置。 Extends distally to the distal end of the elongate member towards the distal end of the inflatable member, the portion of the elongate member that is between the distal end of the elongate member and the distal end of the inflatable member but comprising said greater rigidity than the thin elongate member Ru proximal near to the distal end of the inflatable member, apparatus according to claim 1. 前記より小さい内側の輪状内腔寸法の領域は、ガイドワイヤーの前記より小さい内側の輪状内腔寸法の領域への挿入が、前記少なくとも1つの出口ポートの大きさに比べて、流動に利用可能な前記流体送達/ガイドワイヤー内腔の断面積を減少させ、このように、流体の流れを前記少なくとも1つの出口ポートから出て行く方向に優先的に向けるような大きさに作られる、請求項2に記載の装置。  The smaller inner annular lumen sized region allows insertion of a guide wire into the smaller inner annular lumen sized region for flow compared to the size of the at least one outlet port. 3. A size that reduces the cross-sectional area of the fluid delivery / guidewire lumen, and thus preferentially directs fluid flow out of the at least one outlet port. The device described in 1. 前記装置がガイドワイヤーをさらに含み、前記より小さい内側の輪状内腔寸法の領域は、前記ガイドワイヤーの前記より小さい内側の輪状内腔寸法の領域への挿入が、前記少なくとも1つの出口ポートの大きさに比べて、流動に利用可能な前記流体送達/ガイドワイヤー内腔の断面積を減少させ、このように、流体の流れを前記少なくとも1つの出口ポートから出て行く方向に優先的に向けるような大きさに作られる、請求項2に記載の装置。  The apparatus further includes a guide wire, wherein the smaller inner annular lumen size region is inserted into the smaller inner annular lumen size region of the at least one outlet port. As compared to reducing the cross-sectional area of the fluid delivery / guidewire lumen available for flow, thus preferentially directing fluid flow out of the at least one outlet port. The device of claim 2, wherein the device is sized. 前記膨張可能部材が、前記細長い部材にその近位端及び遠位端で結合されるか又はそうでなければ取り付けられる、請求項2〜5のいずれか1項に記載の装置。  6. A device according to any one of claims 2 to 5, wherein the inflatable member is coupled or otherwise attached to the elongate member at its proximal and distal ends. 前記変化部位の位置が前記膨張可能部材の近位端に隣接しており、前記少なくとも1つの出口ポートが前記膨張可能部材の近位端の近位にある、請求項6に記載の装置。  The apparatus of claim 6, wherein the location of the change site is adjacent to a proximal end of the inflatable member and the at least one outlet port is proximal to the proximal end of the inflatable member. 前記より小さい内側の輪状内腔寸法の領域が前記膨張可能部材を通して全体に延びる、請求項7に記載の装置。  8. The device of claim 7, wherein the smaller inner annular lumen sized region extends entirely through the inflatable member. 前記少なくとも1つの出口ポートが前記膨張可能部材の近位に位置する、請求項2〜6のいずれか1項に記載の装置。  The apparatus of any of claims 2-6, wherein the at least one outlet port is located proximal to the inflatable member. 前記装置が、前記少なくとも1つの出口ポート上の注入部品をさらに含み、前記注入部品が少なくとも1つの注入出口ポートを含む、請求項9に記載の装置。  The apparatus of claim 9, wherein the apparatus further comprises an injection component on the at least one outlet port, the injection component including at least one injection outlet port. 前記少なくとも1つの注入出口ポートは、流体ジェットが前記少なくとも1つの注入出口ポートから近位に又は遠位に放出されるように方向付けられるか又はそうでなければ構成される、請求項10に記載の装置。  11. The at least one injection outlet port is directed or otherwise configured such that a fluid jet is emitted proximally or distally from the at least one injection outlet port. Equipment. 前記膨張可能部材の遠位に位置する少なくとも1つの出口ポートをさらに含む、請求項7〜11のいずれか1項に記載の装置。  12. The device of any one of claims 7-11, further comprising at least one outlet port located distal to the inflatable member. 前記装置が、前記少なくとも1つの出口ポート上の注入部品をさらに含み、前記注入部品が少なくとも1つの注入出口ポートを含む、請求項12に記載の装置。  The apparatus of claim 12, wherein the apparatus further comprises an injection component on the at least one outlet port, the injection component including at least one injection outlet port. 体腔を治療するためのカテーテルであって、前記カテーテルは、
細長い部材であって、前記細長い部材は、近位端、体腔への導入のための大きさに作られた遠位端、前記近位端上のハブ、及び前記ハブの入口ポートと前記細長い部材の遠位部分の通過ポートとの間を連絡する流体送達内腔を含む、細長い部材と、
記通過ポートに隣接する前記細長い部材に取り付けられた近位端を含む可膨張性注入部品であって、それにより、前記注入部品の近位端が、前記流体送達内腔、及び前記細長い部材の遠位端に取り付けられた遠位端と連通する、可膨張性注入部品
前記通過ポート上に配置されたカバー又はシールドを含む管状部材であって、前記管状部材は、前記流体送達内腔に送達された流体が所定の圧力を超えて前記通過ポートを通って注入出口ポートを出て前記細長い部材近位端に向けて流体を送達するときに、少なくとも部分的に開いて前記注入出口ポートを提供するように構成される、管状部材と
を含カテーテル。
A catheter for treating a body cavity, the catheter comprising:
An elongate member, said elongate member proximal end, a distal end which is sized for introduction into a body cavity, the proximal on end of the hub, and the inlet port on the hub elongated includes a fluid delivery lumen communicating between the passage port on the distal portion of the member, the thin elongate member,
The proximal end attached to said elongated member adjacent the leading Symbol passage port A including inflatable infusion part, whereby the proximal end of the infusion part is, the fluid delivery lumen, and the elongate An inflatable infusion component in communication with a distal end attached to the distal end of the member ;
A tubular member including a cover or shield disposed on the passage port, wherein the tubular member passes through the passage port and fluid is delivered to the fluid delivery lumen over a predetermined pressure through the inlet port. when delivering fluid towards the proximal end of the elongate member exits the, Ru is configured to provide the injection outlet port at least partially open, a tube-like member,
The including, catheter.
前記細長い部材が、前記遠位部分に柔軟性管状部材によりカバーされた複数の通過ポートを含む、請求項14に記載のカテーテル。 The catheter of claim 14 , wherein the elongate member includes a plurality of passage ports covered by a flexible tubular member on the distal portion. 柔軟性管状部材が、前記細長い部材の外壁に前記外壁の周辺にある多数の取り付け位置で取り付けられる近位端を含み、それにより、前記流体送達内腔中の流体が前記所定の圧力を越えるときに、前記取り付け位置の間にある前記柔軟性管状部材の領域が開いて複数の出口ポートを画定する、請求項14に記載のカテーテル。 Flexibility tubular member includes a proximal end attached at multiple attachment positions in the periphery of the outer wall to the outer wall of the elongate member, whereby the flow of the fluid delivery lumen exceeds a predetermined pressure Occasionally, the region of the flexible tubular member located between the mounting position of which defines a plurality of outlet ports open, catheter according to Motomeko 14. 前記管状部材が前記可膨張性注入部品の近位脚部の延長部を含む、請求項14に記載のカテーテル。 It said tubular member includes an extension of the proximal Kuraiashi portion of the inflatable infusion part, catheter according to claim 14. 前記近位脚部の延長部が、前記細長い部材の外壁に前記外壁の周辺にある多数の取り付け位置で前記外壁に取り付けられ、それにより、前記流体送達内腔中の流体が前記所定の圧力を越えるときに、前記取り付け位置の間にある前記近位脚部延長部の領域が開いて複数の出口ポートを画定する、請求項17に記載のカテーテル。 The extension of the proximal Kuraiashi portion is attached to the outer wall at a plurality of attachment positions in the periphery of the outer wall to the outer wall of the elongate member, whereby the flow of the fluid delivery lumen is the predetermined pressure when exceeding, the the area of the extension of the near Kuraiashi portion defines a plurality of outlet ports open in between said mounting position, catheter according to Motomeko 17. 前記近位脚部が柔軟性材料を含む、請求項17に記載のカテーテル。 The catheter of claim 17 , wherein the proximal leg comprises a flexible material. 前記近位脚部が前記細長い部材の外壁に対し片寄って前記通過ポートをシールする材料を含み、前記材料は、前記注入内腔内で前記通過ポートを開き前記流体送達内腔から流体を送達する所定の閾値を越える流体にさらされるときに弾力的に膨張可能である、請求項17に記載のカテーテル。 The near Kuraiashi portion comprises a material sheet Lumpur said passage port is offset with respect to the outer wall of the elongate member, wherein the material is a fluid from the fluid delivery lumen open the passage port in said injection lumen a resiliently expandable to Rutoki exposed to the fluid exceeds a predetermined threshold to deliver a catheter according to claim 17. 前記可膨張性注入部品がバルーンを含む、請求項17に記載のカテーテル。 The catheter of claim 17 , wherein the inflatable infusion part comprises a balloon. 前記可膨張性注入部品が柔軟性材料を含む、請求項17に記載のカテーテル。 The catheter of claim 17 , wherein the inflatable infusion part comprises a flexible material. 前記管状部材が柔軟性材料を含む、請求項14に記載のカテーテル。 The catheter of claim 14 , wherein the tubular member comprises a flexible material. 前記管状部材が前記細長い部材の外壁に対し片寄って前記通過ポートをシールする材料を含み、前記材料は、前記注入内腔内で前記通過ポートを開き前記流体送達内腔から流体を送達する所定の閾値を越える流体にさらされるときに弾力的に膨張可能である、請求項14に記載のカテーテル。 Said tubular member includes a material sheet Lumpur said passage port is offset with respect to the outer wall of the elongate member, said material delivering fluid from the fluid delivery lumen open the passage port in said injection lumen a resiliently expandable to Rutoki exposed to the fluid exceeding a predetermined threshold for catheter according to claim 14. 前記管状部材が前記細長い部材に取り付けられて液密のシールを提供する遠位端、及び前記細長い部材を包囲する近位端を含むスリーブを含む、請求項14に記載のカテーテル。 It said tubular member, the distal end to provide a seal mounted in a liquid-tight to the elongated member, and a sleeve including a proximal end surrounding said elongated member, catheter according to claim 14. 前記スリーブの近位端は、前記スリーブの近位端が前記外壁から離れて膨張されるときに、前記細長い部材の外壁に1つ以上の場所で取り付けられつ以上注入出口ポートを提供する、請求項25に記載のカテーテル。 The proximal end of the sleeve, provided when the proximate end is expanded away from the outer wall, one or more injection outlet port mounted at one or more locations on the outer wall of the elongate member of said sleeve The catheter according to claim 25 . 前記スリーブの近位端は、前記スリーブの近位端が前記流体送達内腔内の所定の圧力を越える流体に起因して前記外壁から離れて膨張されるときに、前記細長い部材の外壁に取り付けられずに注入出口ポートを提供する、請求項26に記載のカテーテル。 The proximal end of the sleeve, when the proximal end of the sleeve is expanded away from the outer wall due to the fluid exceeding a predetermined pressure of said fluid delivery lumen, the outer wall of the front Symbol elongate member 27. The catheter of claim 26 , providing an infusion outlet port without being attached. 前記ハブのガイドワイヤーポートから前記細長い部材の遠位先端の出口に前記可膨張性注入部品を越えて遠位に伸びるガイドワイヤー内腔をさらに含む、請求項1427のいずれか1項に記載のカテーテル。 Further comprising a guide wire lumen extending distally from the guide wire port on the hub beyond said inflatable infusion part to the outlet on the distal tip of the elongate member, any one of claims 14-27 The catheter according to 1. 体腔を治療するためのカテーテルであって、前記カテーテルは、
細長い部材であって、前記細長い部材は、近位端、体腔への導入のための大きさに作られた遠位端、前記近位端上のハブ、及び前記ハブの入口ポートと前記細長い部材の遠位部分の通過ポートとの間を連絡する流体送達内腔を含む、細長い部材と、
記通過ポートに隣接する前記細長い部材に取り付けられた近位端を含む可膨張性注入部品であって、それにより、前記注入部品の近位端が、前記流体送達内腔、及び前記細長い部材の遠位端に取り付けられた遠位端と連通する、可膨張性注入部品と、
前記細長い部材上にありかつ前記通過ポートに関連する機構であって、前記機構は、前記流体送達内腔に送達された流体が所定の圧力を超えて前記通過ポートを通って注入出口ポートから出て前記細長い部材近位端に向けて送達されるときに、少なくとも部分的に開いて前記注入出口ポートを提供し、前記流体送達内腔内の圧力が前記所定の圧力より低いときに、前記通過ポートをシールするように構成される、機構と
を含カテーテル。
A catheter for treating a body cavity, the catheter comprising:
An elongate member, said elongate member proximal end, a distal end which is sized for introduction into a body cavity, the proximal on end of the hub, and the inlet port on the hub elongated includes a fluid delivery lumen communicating between the passage port on the distal portion of the member, the thin elongate member,
The proximal end attached to said elongated member adjacent the leading Symbol passage port A including inflatable infusion part, whereby the proximal end of the infusion part is, the fluid delivery lumen, and the elongate An inflatable infusion component in communication with a distal end attached to the distal end of the member ;
A mechanism associated with there and the pass-through port in the elongate member, said mechanism from the injection outlet port through said passage port exceeds the pressure of the fluid is Jo Tokoro delivered to the fluid delivery lumen when delivered toward the proximal end of the elongate member out to provide the injection outlet port at least partially open, when the pressure of the fluid delivery lumen is lower than the predetermined pressure, Ru is configured to sheet Lumpur said passage port, and machine configuration,
The including, catheter.
JP2015530129A 2012-08-30 2013-08-30 Apparatus and method for treating vascular disease Pending JP2015526259A (en)

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US201261694922P 2012-08-30 2012-08-30
US61/694,922 2012-08-30
US201361786499P 2013-03-15 2013-03-15
US61/786,499 2013-03-15
PCT/US2013/057733 WO2014036530A1 (en) 2012-08-30 2013-08-30 Devices and methods for the treatment of vascular disease

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JP2015526259A5 true JP2015526259A5 (en) 2016-10-20

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